ABSTRACT. The influence of postnatal age on the distribution of vascular resistances was studied in in situ, isolated, blood perfused lungs of lambs aged 6-12 h, 2-4 d, 2 wk, and 1 mo. The pressure gradients across the upstream, downstream, and compliant middle segments were determined by an inflow-outflow occlusion technique during mild hyperoxia (FI02 = 0.28) and severe hypoxia (FI02 = 0.04) under control and indomethacin-treated conditions. The greatest response to hypoxia was seen in the middle segment. A lesser, but significant response was also seen in the upstream segment. Indomethacin accentuated the hypoxic response of the total circuit and the middle segment at all ages, and the upstream segment in the two younger age groups. An age-dependent increase in total hypoxic reactivity was seen in control lungs, but not in indomethacin-treated lungs. When the pressure gradient across the middle segment alone was considered, an age-dependent increase in hypoxic reactivity was seen in controls and a decrease was seen in indomethacin-treated lungs. In contrast there were no age-dependent changes in the hypoxic responses of the upstream or downstream segments. These data suggest that the predominant site of hypoxic pulmonary vasoconstriction and dilator prostaglandin activity lies within the middle gradient in newborn lamb lungs. Purthermore, the age-dependent changes in the hypoxic response of the middle gradient appear to be altered by the modulating influence of dilator prostaglandins. (Pediatr Res 26:325-329,1989) Abbreviations HPV, hypoxic pulmonary vasoconstriction PVR, pulmonary vascular resistance PG, prostaglandin Paw, tracheal pressure Ppa, Pulmonary artery pressure Pla, left atrial pressure yIOz, fractional inspired oxygen Q, constant flow LSD, least significant different test APm, middle segment gradient Apt, total pressure gradient APa, upstream gradient APv, downstream gradient It has long been established that normoxic PVR decreases rapidly after birth (1-3). In contrast, although some studies have shown that the vigor of HPV also decreases (3-5), others have indicated that HPV increases with age (6-1 1). In piglets the increase in hypoxic reactivity was positively correlated with the peripheral extension of arteriolar muscularization (9, 10) suggesting that arterioles might be the site of HPV. However, other newborn studies suggested that veins, not arterioles are the site of HPV (12)(13)(14). Moreover, in a previous study we found that dilator PC appeared to modulate HPV more in isolated lungs of 2-to 4-d than 2-wk-old lambs, suggesting that factors other than vascular muscularization may also influence the age-dependent changes in HPV (8).In this study we examined the effects of hypoxia (FI02 = 0.04) on the distribution of pulmonary vascular resistances in isolated lamb lungs under control and indomethacin-treated conditions at four ages during the 1 st mo of life. We used an inflow-outflow occlusion technique to partition the pulmonary vascular circuit into relatively noncompliant upstream ...